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NPI 1902032451

NPI 1902032451 : MENTAL HEALTH ASSOCIATION OF FRANKLIN COUNTY, INC. : CHAMBERSBURG, PA

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General NPI Number Information
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    NPI Number           |    1902032451
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    Entity Type          |    Organization 
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    Legal Business Name  |    MENTAL HEALTH ASSOCIATION OF FRANKLIN COUNTY, INC. 
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Dates
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    Enumeration Date     |    06/10/2009
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    Last Update Date     |    06/02/2016
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Provider Practice Location Address
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    Address Line         |    478 GRANT ST 
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    City                 |    CHAMBERSBURG
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    State                |    PA
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    Zip                  |    17201-1632
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    Country              |    US
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    Telephone            |    717-264-4301
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    Fax                  |    717-264-3591
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Provider Business Mailing Address
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    Address Line         |    478 GRANT ST 
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    City                 |    CHAMBERSBURG
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    State                |    PA
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    Zip                  |    17201-1632
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    Country              |    US
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    Telephone            |    717-264-4301
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    Fax                  |    717-264-3591
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |    MR. A. KENNETH WUERTENBERG 
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    Credential           |    
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    Telephone            |    717-264-4301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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